Emotion Regulation Skills in DBT Trauma Work: Problem-Solving and the ABCD Skill

Kirby-Reutter

United States Department of Homeland Security

Key Points

  1. When we accumulate problems, we feel overwhelmed, so problem-solving is a crucial emotion regulation skill.
  2. There is a 10-step process to identify possible solutions to significant problems, from defining the problem, looking for solutions, and thinking about obstacles, to evaluating solutions and trying alternative ones if necessary.
  3. The ABCD acronym stands for add something positive, build mastery, cope ahead, and do something meaningful. It helps the client experience more positive emotions in order to develop well-being.
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Problem-Solving

When we accumulate problems, they start to feel unmanageable and we feel overwhelmed. Maria was trained in problem-solving by targeting the conflict with her roommates. It was a significant problem because it was triggering for her, and made it more difficult to cope with panic attack symptoms.

The practice of problem-solving has 10 steps.

1. Define the problem.

  • “My roommates are verbally harassing me.”

2. Brainstorm possible solutions.

  • Do nothing, just let it slide.
  • Confront the roommates.
  • Speak to the case manager.

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